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Symbolically, therefore, a dilemma is an argument of the form A ⊃ C, B ⊃ C, A ∨ B, therefore C. It is not necessary that a dilemma should have an unwelcome conclusion; but from its use in rhetoric the word has come to mean a situation in which each of the alternative courses of action (presented as the only ones open) leads to some unsatisfactory consequence.
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The need to question our valuings arises when immediate action on them is not possible or yields unsatisfactory consequences.
These unsatisfactory consequences can mostly be justified by the unique nature of diagnostic assessments (I: fine-grained skills; II skill-based constructed tasks, and III sounded Q matrix) missing a principled assessments design (e.g. ECgD) for diagnostic purposes (Habermann et al. 2008; Rupp and Templin 2008).
It has been suggested that this unsatisfactory outcome is partly the consequence of first-line therapy being begun only after A1C reaches levels higher than those at which the expected glucose-lowering from monotherapy could be expected to return glucose control to target levels (38).
As a consequence, unsatisfactory results call for further investigation from both the theoretical and the empirical standpoint.
In either case, the consequences are unsatisfactory, with the former predicting a negative washback effect on the part of the students, and with the latter having instructors artificially boosting scores under the criteria, bringing into to question the validity of such a process.
This risk stratification is unsatisfactory in predicting outcome, with under- or over-treatment as possible consequences.
Their emails throughout were headed 'Waitrose customer feedback' as if the whole affair was of no more consequence than an unsatisfactory purchase from the bakery.
And the consequence is an unsatisfactory competition between two parts of the same organisation.The BBC's Internet site is without question the best in Britain.
As a consequence of his unsatisfactory marriage, Wellington formed relationships with other women, but it was for Arbuthnot that "he reserved his deepest affection".
From a total of approximately 6.4 million women who undergo screening, it is estimated that about 390,000 have unsatisfactory results and, as a consequence, approximately 240,000 have a repeated test (Table 2).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com